AIRMETHODS PRE-HIRE EXAM
QUESTIONS AND ANSWERS GRADED A+
2026
ST elevation is associated with - ANS myocardial injury
ST depressions is associated with - ANS Ischemia, old infarction, digitalis toxicity
Q wave with ST elevation - ANS Acute injury
Q wave with ST depression - ANS Indeterminate
Q wave without ST changes - ANS Old infarction
Coronary Artery Occlusion: Anterior - ANS LAD
Coronary Artery Occlusion: Inferior - ANS RCA
Coronary Artery Occlusion: Posterior - ANS LCX or RCA
Coronary Artery Occlusion: Lateral - ANS LCX
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,Coronary Artery Occlusion: Septal - ANS LAD
Inferior MI: Elevation leads? Reciprocal leads? - ANS Elevation: II, III, aVF
Reciprocal: I, aVL, V1-V4
Anterior-septal MI: Elevation leads? Reciprocal leads? - ANS Elevation: V1-v4
Reciprocal: II, III, aVF, aVL
Lateral MI: Elevation leads? Reciprocal leads? - ANS Elevation: I, aVL, V5, V5
Reciprocal: II, III, aVF
Posterior MI: Elevation leads? Reciprocal leads? - ANS Elevation: V6
Reciprocal: V1-V4
Junction (J) Point - ANS end of QRS & beginning of ST segment where QRS stops and makes a
sudden SHARP change of direction
Delta wave is associated with - ANS Wolff-Parkinson White Syndrome
Where is the Delta wave on EKG - ANS Bump in the beginning of the QRS wave
Osborne wave is associated with - ANS Hypothermia
Peaked/tented T waves indicate - ANS Hyperkalemia
Peaked P waves/ Flattened T waves/U waves indicate - ANS Hypokalemia
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,Wide QRS could indicate x2 - ANS BBB present, TCA overdose
Prolonged QT interval could indicate - ANS TCA overdose
history of tricyclic antidepressant overdose can exhibit what ECG tracing - ANS Prolonged QT
interval
What is the amount of blood in the ventricles at end-diastole - ANS Preload (Right = CVP ,
Left = PAOP)
What is the resistance the ventricles must overcome to eject blood into the pulmonary and
systemic circulation - ANS Afterload (SVR)
Stroke volume is dependent on - ANS contractility, preload, afterload
Sequence blood flows throughout the heart valves (Think toilet paper) - ANS Tricuspid
Pulmonic
Mitral
Aortic
Common site affected for balloon dislodgment when treating your IABP patient - ANS Left
radial
CONTRAINDICATION for IABP - ANS Aortic aneurysm
Aortic insufficiency
Aortic stents
AAA
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, "rust-colored flakes" in IABP tubing indicates - ANS Balloon rupture
How to determine early or late inflation in IABP - ANS Draw line from dicrotic notch to
inflation point
If the Inflation point (IP) is 2mm+ from the Dicrotic Notch (DN), it indicates - ANS Early
inflation
Primary trigger used from most IABP operations is the - ANS EKG
IABP balloon inflation on EKG starts at - ANS middle of T wave
IABP balloon deflation on EKG prior to - ANS End of QRS complex
IABP inflation mechanism occurs at - ANS onset of ventricular diastole
IABP deflation mechanism occurs at - ANS prior onset of ventricular systole
Which patients are not affected with altitude temperature changes - ANS Cardiac patients
Therapy focus for left ventricular heart failure patients - ANS Diuretics and relief of anxiety
Characteristics of Systolic failure (4) - ANS <65 y/o
Frequent/prior MI
S3 heart tone
Cardiomegaly present
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
QUESTIONS AND ANSWERS GRADED A+
2026
ST elevation is associated with - ANS myocardial injury
ST depressions is associated with - ANS Ischemia, old infarction, digitalis toxicity
Q wave with ST elevation - ANS Acute injury
Q wave with ST depression - ANS Indeterminate
Q wave without ST changes - ANS Old infarction
Coronary Artery Occlusion: Anterior - ANS LAD
Coronary Artery Occlusion: Inferior - ANS RCA
Coronary Artery Occlusion: Posterior - ANS LCX or RCA
Coronary Artery Occlusion: Lateral - ANS LCX
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,Coronary Artery Occlusion: Septal - ANS LAD
Inferior MI: Elevation leads? Reciprocal leads? - ANS Elevation: II, III, aVF
Reciprocal: I, aVL, V1-V4
Anterior-septal MI: Elevation leads? Reciprocal leads? - ANS Elevation: V1-v4
Reciprocal: II, III, aVF, aVL
Lateral MI: Elevation leads? Reciprocal leads? - ANS Elevation: I, aVL, V5, V5
Reciprocal: II, III, aVF
Posterior MI: Elevation leads? Reciprocal leads? - ANS Elevation: V6
Reciprocal: V1-V4
Junction (J) Point - ANS end of QRS & beginning of ST segment where QRS stops and makes a
sudden SHARP change of direction
Delta wave is associated with - ANS Wolff-Parkinson White Syndrome
Where is the Delta wave on EKG - ANS Bump in the beginning of the QRS wave
Osborne wave is associated with - ANS Hypothermia
Peaked/tented T waves indicate - ANS Hyperkalemia
Peaked P waves/ Flattened T waves/U waves indicate - ANS Hypokalemia
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,Wide QRS could indicate x2 - ANS BBB present, TCA overdose
Prolonged QT interval could indicate - ANS TCA overdose
history of tricyclic antidepressant overdose can exhibit what ECG tracing - ANS Prolonged QT
interval
What is the amount of blood in the ventricles at end-diastole - ANS Preload (Right = CVP ,
Left = PAOP)
What is the resistance the ventricles must overcome to eject blood into the pulmonary and
systemic circulation - ANS Afterload (SVR)
Stroke volume is dependent on - ANS contractility, preload, afterload
Sequence blood flows throughout the heart valves (Think toilet paper) - ANS Tricuspid
Pulmonic
Mitral
Aortic
Common site affected for balloon dislodgment when treating your IABP patient - ANS Left
radial
CONTRAINDICATION for IABP - ANS Aortic aneurysm
Aortic insufficiency
Aortic stents
AAA
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, "rust-colored flakes" in IABP tubing indicates - ANS Balloon rupture
How to determine early or late inflation in IABP - ANS Draw line from dicrotic notch to
inflation point
If the Inflation point (IP) is 2mm+ from the Dicrotic Notch (DN), it indicates - ANS Early
inflation
Primary trigger used from most IABP operations is the - ANS EKG
IABP balloon inflation on EKG starts at - ANS middle of T wave
IABP balloon deflation on EKG prior to - ANS End of QRS complex
IABP inflation mechanism occurs at - ANS onset of ventricular diastole
IABP deflation mechanism occurs at - ANS prior onset of ventricular systole
Which patients are not affected with altitude temperature changes - ANS Cardiac patients
Therapy focus for left ventricular heart failure patients - ANS Diuretics and relief of anxiety
Characteristics of Systolic failure (4) - ANS <65 y/o
Frequent/prior MI
S3 heart tone
Cardiomegaly present
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
